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PubMedDate not supplied

[Case of reimplanted tooth with long-lasting clinical effect].

The author describes a case of reimplantation of 44 of a 35-year-old woman, 19 years ago. Later, 10 years after the reimplantation apical osteotomy, according to indications, was performed to the same tooth. The X-ray, performed in 1985, shows that resorptive processes around the tooth and root has not advances as yet. It started after the root treatment on the adjecent 46 in 1985. The author thinks that the mass failure of teeth reimplantation (short-term therapeutic effect of 5-6 years and not with all reimplantations) reduces the interest of the researchers in it without any grounds. The case described shows that, very likely, under certain conditions and certain operation technique, unconsciously blended in the case described, very good therapeutic effect could be relied on via the reimplantation. It is presumed that the initiation of resorption has been provoked by the devitalization of an adjacent tooth, possibly due to disturbed trophicity in the region around it. It has been concluded that a great many problems, still unknown, of teeth reimplantation wait their proper solution.

Adult↗
PubMed1990

Relationships between tooth eruption, occlusion and alveolar bone resorption: histochemical and cytological studies of bone remodeling on rat incisor alveolar bone facing the enamel after root resection.

The labial side of rat incisor alveolar bone facing the enamel is continuously resorbed as the result of compressive force produced by the occlusion and eruption of incisors. In order to clarify the relationship between this mechanical compressive force and the bone cells involved in bone remodeling, we examined morphological changes occurring in the alveolar bone once the compressive force was eliminated by the removal of the proliferative odontogenic base (root resection according to Berkovitz and Thomas, 1969). After root resection, the incisor migrated halfway along the socket. On the crestal part where incisor still existed, active osteoclasts were prominent on the bone surface, and flattened mononuclear cells lay close upon active osteoclasts. Sinusoidal blood vessels or capillaries were observed at short distances from the bone surface. On the basal part where socket was vacant, osteoblasts lined up on the newly formed bone, and the osteogenic cell layer lay on the osteoblasts. Between the two parts, which correspond to the reversal phase proposed by Baron (1977), osteoblastic cells with developed cell organelles increased in number and the distance between blood vessels and bone surface increased. Osteoclasts reduced their activities, and osteoblastic cells often wedged themselves between the osteoclasts and bone surface. These findings indicate that the elimination of compressive force mediated by incisors leads to the activation of osteoblastic cells and inactivation of osteoclasts, which results in a conversion from bone resorption to bone formation. Thus, osteoblastic cells may play an important role in controlling osteoclastic activity in conversion from bone resorption to bone formation, partly by a direct effect and partly by controlling the access of blood vessels to the bone surface.

Acid Phosphatase↗
PubMed1992

The effect of acetylsalicylic acid on orthodontic tooth movement in the guinea pig.

This study examined the influence of acetylsalicylic acid an inhibitor of prostaglandin synthesis, on orthodontic tooth movement induced with light spring forces in the guinea pig. The animal model was shown to permit reliable and accurate recording of tooth movement up to 28 days. Tooth movement was found to be highly correlated with spring forces, indicating that the model provided a sensitive test of the effect of aspirin on tooth movement. Aspirin was administered orally at the rate of 65 mg/kg per day in three divided doses and was found to effectively inhibit prostaglandin synthesis at the level of the bronchioles. However, aspirin did not appear to significantly affect tooth movement. Thus prostaglandins may not be the only mediators of the bone resorption associated with tooth movement induced by light orthodontic forces under these experimental conditions.

Analysis of Variance↗
PubMed1990

Relationships between tooth eruption, occlusion and alveolar bone resorption: cytological and cytochemical studies of bone resorption on rat incisor alveolar bone facing the enamel.

The rat labial incisor alveolar bone facing the enamel and bearing the occlusal force was examined by electron microscopy after being compared with the lingual alveolar bone by histological and scanning electron microscopic (SEM) observations. On the labial side, shallow resorptive lacunae were recognized all over the bone surface; these were mainly covered by osteoclasts and some mononuclear cells. The cement line was absent from the bone matrix. On the lingual side, residues of Sharpey's fibers, the bone formation surface and deep resorptive lacunae were observed by SEM. Histologically, bone remodeling areas showing both osteoclasts and active bone-forming osteoblasts on the bone surface, as well as many cement lines in bone matrix, were recognized. Furthermore, electron microscopic and cytochemical studies demonstrated that mononuclear cells located close to osteoclasts displayed osteoblastic characteristics such as alkaline phosphatase activity, a developed Golgi apparatus, and a rough endoplasmic reticulum. These findings indicate that continuous bone resorption occurs on the labial bone surface, while active bone remodeling occurs on the lingual surface. Even on the labial surface, osteoblastic cells close to osteoclasts seem to play an important role in the differentiation and or activation of osteoclasts.

Acid Phosphatase↗
PubMed1983

Cervical resorption in bleached teeth.

A case of cervical resorption in a bleached, pulpless tooth is reported. The tooth has not been traumatized, and no other reason for the resorption could be found except the possible effects of a caustic bleaching agent. This case further supports the evidence in the literature that a cause-and-effect relationship exists between Superoxol bleaching and cervical resorption.

Female↗
PubMedDate not supplied

Treatment of ectopically erupting maxillary permanent first molars with a distal extended stainless steel crown.

The exaggerated mesial eruption of the permanent first molar can result in the tooth becoming impacted, or the premature atypical resorption and exfoliation of the primary molar, with a resultant loss of space. A stainless steel crown with a distal guide plane was placed on a primary molar to correct the aberrant eruption angle of the permanent tooth. This procedure can be used successfully for both partially and totally tissue-impacted teeth, and is described in this report.

Child↗
PubMed2004

[Preservation of alveolar bone of un-restorable traumatized maxillary incisors for future].

UNLABELLED: Anterior maxillary implantation is a challenging treatment for both the surgeon and prosthodontist due to high esthetic demands in this area. However, it is the most traumatized and most exposed region to habits. Prompt and appropriate management can significantly improve prognosis of many dentoalveolar injuries, especially in young patients. Unfortunately, many traumatized teeth are overtreated or left untreated, which lead to a much more complicated treatment at the time of permanent restoration at adulthood. The facial cortical plate over the roots of the maxillary teeth is thin and porous. Periapical infections, as well as prolonged and stubborn surgical treatments (repeated root end surgeries) can cause resorption of the labial plate, migrate to a more palatal position, and may later require an augmentation procedure prior to implant placement. The treatment-options of traumatized, anterior maxillary, un-restorable fractured root and ankylosed infraocluded teeth, in relation to preservation of the adjacent alveolar bone for future use of dental implantation will be discussed. The recommended treatment of crown-root fracture of permanent incisor includes removal of the coronal fragment and supragingival restoration of the fractured root. In severe cases in which the fracture line positions deeply under the gingival margin, this treatment may be supplemented by gingivectomy and/or osteotomy, as well as surgical or orthodontic extrusion of the root. In young patients, use of these treatment options as temporary treatment to preserve the facial cortical plate is important. Preservation of alveolar dimension will enable implantation after the completion of growth and development. Dento-alveolar ankylosis accompanied by replacement resorption is a serious complication following severe injury to the periodontal membrane. This complication develops mainly following avulsion and intrusion but also following lateral luxation and root fracture. Replacement resorption develops after severe damage to the periodontal ligament cells that cover the root surface. As a result of this damage, the periodontal ligament is replaced by bone tissue, causing ankylosis between bone and tooth. Following ankylosis, resorption of cementum and root dentin occurs. These processes eventually result in replacement of the entire root by bone. In young children it could arrest the growth of the alveolar process and create an infra-occluded tooth, resulting in a severe bony defect that is difficult to correct. In addition, loss of the maxillary incisor leads to serious esthetic and restorative problems, particularly when the trauma occurs at a young age. Therefore, ankylosed teeth should be treated as soon as diagnosed. Alternative treatments include intentional extraction and immediate replantation of the ankylosed tooth to its socket after embedding the tooth and the socket in Emdogain. This treatment is indicated only when the ankylosis or the replacement resorption is diagnosed at an early stage or has affected only a small area of the root. When the resorption is diagnosed at a later stage, auto transplantation of first lower pre-molar to the anterior region or decoronation of the ankylosed tooth may be considered. Decoronation is a simple and safe surgical procedure for preservation of alveolar bone prior to implant placement. It should be considered as a treatment option for teeth affected by replacement resorption. The alternative treatment of surgical extraction of an ankylosed tooth often leads to considerable bone loss and reduced bone volume in the oro-facial dimension. This may later necessitate an augmentation procedure. CONCLUSION: Scrupulous diagnosis of teeth and the alveolar bone after a traumatic injury is necessary. Treatment is multidisciplinary, requiring endodontic, surgical, orthodontic, operative and prosthetic compliance. An individual treatment plan for each patient is necessary. General rule do not apply. Periodic check-up is essential.

Adult↗
PubMed2004

Incidence and severity of root resorption in orthodontically moved premolars in dogs.

OBJECTIVES: To study treatment-related factors for external root resorption during orthodontic tooth movement. DESIGN: An experimental animal study. SETTING AND SAMPLE POPULATION: Department of Orthodontics and Oral Biology, University Medical Centre Nijmegen, The Netherlands. Twenty-four young adult beagle dogs. EXPERIMENTAL VARIABLE: Mandibular premolars were bodily moved with continuous or intermittent controlled orthodontic forces of 10, 25, 50, 100, or 200 cN according to standardized protocols. At different points in time histomorphometry was performed to determine the severity of root resorption. OUTCOME MEASURE: Prevalence of root resorptions, defined as microscopically visible resorption lacunae in the dentin. Severity of resorption was defined by the length, relative length, depth, and surface area of each resorption area. RESULTS: The incidence of root resorption increased with the duration of force application. After 14-17 weeks of force application root resorption was found at 94% of the root surfaces at pressure sides. The effect of force magnitude on the severity of root resorption was not statistically significant. The severity of root resorption was highly related to the force regimen. Continuous forces caused significantly more severe root resorption than intermittent forces. A strong correlation (0.60 < r < 0.68) was found between the amount of tooth movement and the severity of root resorption. CONCLUSIONS: Root resorption increases with the duration of force application. The more teeth are displaced, the more root resorption will occur. Intermittent forces cause less severe root resorption than continuous forces, and force magnitude is probably not decisive for root resorption.

Analysis of Variance↗
PubMed1986

[Tissue lesions in dental displacement].

Following the observation of alveolar, periodontal and dental lesions following dental displacement, the authors performed histological examinations. Lacunae of root resorption were observed in the pressure zones. The ligamentous fibres were less organised and, when strong pressures were exerted, they became parallel to the tooth. Osteoclasts and bone resorption were observed in the alveolar bone. Osteoblasts and bone apposition were observed in areas of stretched ligaments. These tissue reactions were not always reversible; dental displacement should be considered to be a high risk procedure.

Alveolectomy↗
PubMed1996

Influence of residual ridge resorption patterns on fixture placement and tooth position, Part III: Presurgical assessment of ridge augmentation requirements.

Implant diagnostic methods using computed tomography with barium-coated templates have revealed the relationship between the optimal final tooth position and the residual alveolar process or ridge. While information with regard to emergence axis, anatomic limitations, fixture length, buccolingual cantilever, and prediction of the the final prosthetic design is available, presurgical information relating to the reconstruction potential of smile zone deformities remains elusive. The use of a complete provisional wax-up and the modification of a barium-coated template design can provide the implant team with presurgical information regarding the need for augmentation of hard tissue and soft tissue and the volume of tissue needed for reconstruction. This information can assist the implant team in the development of realistic treatment objectives and in more accurately addressing the needs and concerns of the patient during presurgical treatment planning.

Alveolar Bone Loss↗
PubMed1998

Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition.

Two hundred and eighty-seven children with a total of 545 traumatized primary upper incisors were followed using standardized procedures until the age of 10. Extraction was the only treatment offered when intervention was necessary. The immediate as well as the long-term consequences of trauma were studied on the basis of this material. Consequences in the primary dentition comprised: color changes (53%), pulp necrosis (25%), pulp canal obliteration (36%), gingival retraction (6%), permanent displacement after luxation (5-22%), pathological root resorption (1-10%) as well as disturbances in physiological root resorption (4%) and, lastly, premature tooth loss (46%). In a multivariate analysis of the development of pulp necross in primary teeth after trauma, the following decisive factors were found: age of the patient at the time of injury, degree of displacement of the tooth as well as the degree of loosening and presence of crown fracture. The factors found to influence development of pulp canal obliteration were: displacement of the tooth at time of injury as well as detectable physiologic root resorption at time of trauma. The presence of crown fracture seemed to decrease the risk of obliteration. The need for scientifically based treatment strategies for managing and reducting complications after trauma in the primary dentition is stressed.

Age Distribution↗
PubMed1994

[Esthetic and prosthetic procedures in single-tooth replacement].

Loss of anterior maxillary teeth always results in bone resorption and loss of interdental papillae, and the resorption makes a single tooth replacement by a dental implant very difficult. When infections have been present and the patient's history shows previous surgery at the apex of the root, bone destruction is substantial, which results in an increased resorption defect, thereby further increasing the aesthetic and prosthetic problems. This paper describes the steps necessary for implant surgery and the prosthetics; a brief summary is provided. The quality and quantity of bone, along with the space available between the adjacent teeth, are the basic factors in treatment planning and determine the type of implant to be used. Some resorption and bone defects are usually present after a tooth extraction, and bone regeneration procedures can be performed either before or simultaneously with the implant placement, with numerous flap designs available. Soft tissue augmentation can be achieved by taking a connective tissue graft from the palatal side. Antirotational devices (eg, hex lock abutments) are necessary for all implants in single tooth replacement. Screw-retained abutments can be used in posterior areas and in angled positions in facial areas as well. With proper single tooth implant position, cementation of laboratory fabricated crowns can be considered.

Alveolar Bone Loss↗